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Home My WebLink About15-16500 � I CITY OF ZEPHYRHILLS � ; ` 5335-8TH STREET (813}780�002Q 16�0��''` O BUILDING�PERMIT � PERMIT INEORMATION LOCATION INFORMATION Permit Number: 16500 Address: 36841 CLUBHQUSE DR Permit Type: RE-ROOF ZEPHYRHILLS, FL. �� Class af Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: COMMERCIAL Lat(s): Block: Section; Square Feet: Subdivision: SILVER QAKS Est. Vaiue: Parcei Number: 04-26-21-0000-OQ100-0020 improv. Cost: 23,414.Q0 QWNER lNFC?RMATIUN Date issued: 8/17/2415 Name: S & R DEVELOPMENT LLC Tota! Fees: 155.00 Address: 36841 GLUBHOUSE DR Amount Paid: 155.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/17/2015 Phone: (813}788-1225 Work Desc: RERO(�F SHINGLE ( CCINTRACTOR S I APPL-ICATIC?N FEES ILBAR R O {N !iV R R OF RE {D N AL 155.Q0 .«�--� �� . � ~ � � � �� r � ��.:. Ins ectionsl Re uired � D Y IN R O IN P TAPE JQiNT5 RQOF it�SP FINAL, �' ^( --1 S REINSPECTION FEES: Reinspection fees will comply w�ith Florida Sfiatute 553.80 (2)(c)when eactra inspection trips are necessary due to any one of the following reasons: a)wrang address b)condemned work resutting from faulty construction c) rapairs or corrections no�made when inspections cailed d)work not ready for inspectian when callad e} permit nat pasted on job site f} pfans not at job site g)work not accessible. IVOTICE: In additian ta the requirements of this permit, there may be add9tiona! restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to awner: Your failure to record a notice of commencement may result in your paying twice far improvements to your property. If yau intend to obtain financing,consutt with yaur lender or an attorney before recording your notice of cammencement." ' Complete Ptans, Specificatians Must Accampany App#icatian.Aft wark shalt be performed in accordance wit� City Codes and t)rdinances.�NO OCCUPANCY BEFO C,O. CIJNTRACT GNATURE PERMIT OFFI R PER IT EXPIRES IN 6 MONTHS�WITHOUT APPROVED INSPECTION CALL FOR INSPECT�ON -I8 HOUR NQTICE REQUIRED PROTECT CARp FROM WEATHER � i � I I __ ; � ` �813-780-0020 Fax-813-7$0-0021 City of Zephyrhills Permik Ap�licafiion y B�ilding Departmsnt /Y�21 "�Z��, , � : Date Received pl�one Contact far Ferettitiing • -- I�°�"��iornaouuooii� u�� ia. �� i a � r��'°mn , � ,� �r's P}ame � ¢ � } Qwner Phone Number Y � 2.� i Owner's Address p � L `j Owner Phone Number Fee Simple 7itleholder Name Owner Phone Nurnber �- � }__ i Fee Simpl�Titleholder Address � � JOB ADDRESS � �'��1 r LOT-# �� Sl!'3DIVI510P1 � ll�'�l t,,,r�k� � i'ARGEL ID# � _ �. 5 alJ- L`�utiZ� I ~ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR [� ADD/ALT � SlGN Q MOVE Q DEM4�iSH INSTALL � REPAIR PROPOSEC3 USE � SPR � C41Viiitl� Q dTFEER P.-Q. TYPE OF CONSTRUCTION � BLOCK [� FRAME Q STEEL � OTHER �� i�I DESCRIPTION OF WORK I � BUILDING SIZE �� 34 FOOTAGE L��J� � HEIGHT C� � i I � f.N e G 7 iOP��WGIPtlOVlxF4�?nH906Pev�IplBa �� BUILDING $ � � VAI.UATIQN OF TC7TAL GfJNSTRUCTIpN 3 ., � ELECTRICAL $ AMP SERV�CE � PROGRESS ENERGY CJ W.R.E.C. �� PLUMDING $ �I � � � Q MECHANICAL $ VALUATIQN OF MECHANICAL INSTA�.LAT{ON � GAS �� ROOFING � SPECIALTY � OTHER FINlSHED FLQOR ELEVATI4NS � � FL4bD ZONE AREA OYES �NC7 �PE�Pd6�lu�9➢VO'"'II BtlireP6 rc4:4Ptl�LwL�BB�C"N�tlVBIIN��1�7��FC�4'�Vu9"9�0'�0�,�' �Wt��O.^�'909��l�6�B�LR��yBiiIll��u0��1tlq��kRGIC^^�lfBC��tl 'BIIIIIlqB9Nm9VG�pII upIryIGV�IIEU�VWIVIVIIVIllIIIVIVVII nII°IPIMlB�P9CVW�NI''LNliN1�100GIIIIVBdIlO�BqflGI�NV�lOVO�uiGPIlfpAptIIII�p�VflVVNI�VI'�VIV�V9tlV2VBqPB96fIItl78�IIV"VdiIV9VOV�9V�9IV19V6��Y91IVb BUILDER COMPANY I�II� IUc�' ! ��9c�'�_��i c. ._._ SlGNATllRE ftiEGtSTERED I N FEE CURR NT Y N � �� L.icense# Address 15R!! U� �� e �.'-�� ' �,.C�t. �3�"�v�Z.., � ' ELECTRICIAN COMPANY SIGNATURE REGISTERED Y 1 N FEE CURRENT Y 1 N Address I License# �� I PLUMBEt2 COMPAPdY StGNATURE REGiSTERED Y I N ; FEE CURRENT Y 1 N Address I License# �u "flECHANICAL I OMPANY iNATURE REGISTERED Y I C� FEE CURREN`f' Y 1 N Address � License# � � 07HER ICOMPANY JIt�i3Ft!liFlt �r.�c,.:.u�;:^ , Y; "! a �____�!��R��N1' Y 1 N Address I License# �- � ��'��1RR"��OXIIIN�flPi � ^ � � � � � � �� p��,��pfNUrtspt�fl��!�1�9�Gl�o.p � �80VVV�1��01��9NVV9VNGVUUBV�➢�V�'VIOIVGVP01��1 RESlDEN71AL Attach{2)Plpt Plans;(2)sets of Building Plans;(1)set of�neryy Forms Minimum ten{�i0}working days after submitfal date. Required ansite,Constructian P{ans,Sanifary Facilit'ses&1 dumpster COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms. Minimum ten(14}working days after submittaf date. Required or�site,Canstruciian Plans,Sanitary Facilities&1 dumpster Ali commercial requirements musf ineet eompliance. ' ` SIGN PERMIT Attach(2)sets of Engineered Plans, """PROPERTY SURVEY required for all NEW construction. -�"4��I' i il 9'� II i . I I I d��0�� II�'�IIG�V�'�� rections: j Fill out application eampletely. i Owner&Cantractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A!C upgrades qver$5000) '* Agent(for the contractor)or Power of Attorney(for the owner}would be someone with notarized letter iram owner authorizing same � QVER THE GOUNTER PERNtlTTING {Frant of A�plication Onfyj � Reroofs Sewers Service Upgrades A/C Fences(PIaflSurveyJFoafage} Driv�ways-Nat aver Counker if on public roadways..needs ROW � - � , i : " ' � t�OT10E dF�EED R�ST}��C'TIOri1�: The undersigneci understands thafi this permifi tnay be subject to"deed" restrictions" V�hich may be mare reskrictive than County regulations. The undersignec� assumes responsibility for campliance with any applicable deed rsstrictians. '� UNLICENSED CONTRACTORS APID CONTFtACTOf2 RESP��VSI�ILITIES; If the owner has hired a contractor or contractors ta underta!<e work, they may be required to be licensed ii� accordance with state and lacal regulations. If the confiractor is nat licensed as required by iaw, bath the awner and conkractor may be cited for a misdemeanor vialation under state law. If the owner or intended contractor are uncertain s�s tcy what licensing requirements may apply for the antended work, they are advised to contact the Pasco Gaunty Buildinc� Inspection Division--C.icensing Section at 727-847- 8009 Furthermore, if khe awner has hired a contractor ar contraciars, he is advised to have the contractor(s) sign portions of the °contractor Slock" of this appiication for which tliey wili be responsible. If you, as the owner sign as the confiractor, that may be an indicatian thafi he is not properly lice�nsed and is not entitled ta permitting privileges in Pasca � County � TRANSPC3RTATtQN I�t'ACTlUTI�ITIES 1�1i1�ACT AND RESOUt�CE RECOVERY FEES: The undsrsigned_undersfiands that Transportation Impact Fees and Recaurse Recovery Fees may apply to the constructian of new buildings, change of use in existing buildings, or expansion of existirtg buildings, as specified ir� Pasco Gaunty Ordinance number 89-07 and 90-07, as amended. The undersigned a(so understands, that such fees, as may be due, will be identified at the time of permitting It is'further understood that Transpartation lmpact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupaney" ar final power release. (f the project does not invo(ve a certificate of occupancy or final power release, the fees must be paid priar to permit issuance Furthermore, if Pasco County Water/Sewer Impact �-��fees are due,they must be paid prior ta permit issuance in accordance with appiicable Pasco County ordinances. CO�ISTI�UCTIOiV LIEI� LAW (Cha�►ter 7'N3, Florida Statut�s, as amer�ded): If valuation of work is $2,500 00 or more, I certifiy that l, the applicant, have been provided with a copy? of il�e "Floricia Canstruction l..ien �aw—Fiomeawner's Protection Guide" prepared by the Fiorida Department ofi Agricu(ture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that 1 have obtained a capy of the above described document and promise in good faith to detiver it to the"owner" prior to camrnencement. � CONTRACTOR'S/0V11NER'S AFFIDAVIT: I certify that all the infarmatian in #his application is accurate and that all work will be done in compliance wi#h all applicabie laws regulating construction, zoning and land deve3opment. Applicafiian is hereby made to obtain a permit to do work and installatian as inciicated. I certify that no work ar installatian has commenced prior to issuance of a permit and #hat all wark will be performed to meet standards of afl lav+rs regufating constructian, County and City codes, zoning reguiations, and land deve(opment regulations in the jurisdiction. I afso certify that I understand that the regulations of ather government agencies may apply to the intended work, and that it is ', ��y responsibility to identify wha#actions I must take to be in com'pliance. Such agencies include but are not limited to � - Qepartmenk of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, 1NaterllNastewater Treatment. � - Southwest Florida Water IVlanagement District-Wells, Cypress Bayheads, Wetland Areas, Alfiering � Watercourses. ; - Army Corps of Engineers-Seawalls, Docks, t�avigable Waterways. � - Department of Health & Rehabilitative S�rviceslEnvironmental Health Unit-Wells, Wastewater Treatment, Sep#ic Tanks. ( - US Environmental Protection Agency-Asbestos abatement. - Federal Aviatian Autharity-Runways. � understand that the follawing restrictions apply to the use of fill. , - Use af fil! is not a!{owed in Flood Zone"V" unless expressly permitted. - if the fi(1 material is to be used in F(ood Zone "A", it is understood that a drainage plan addressing a "compensating valume" will be submitted at time of�permitting which is prepared by a professianal en�ineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" lin connection with a permitted building using stem wall construction, ! cerfiify that fili will be used only ta fi!!the area within#he stem wall. - 1f fi11 mafieria( is to be used in any area, I certify�that use of such fill will not adversely affect adjacent properties. If use of fill is found ta adversely affect adjacent properties, the owner may be cited for violating the conditians of the bui{ding permifi issued under the attached permit application, far lots less than one (1} acre which are elevated by fill, an engineered drainage plan is required. ff i am the AGENT FOR TNE aWNER, I promise in goad faith to inform the owner af the perrnitting canditions set forth in � this affidavit prior to commencing construction. I understand that a separafie permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specifically included in the application A permit issued shall be construed to be a license to praceed,with the work and not as authority to violake, cancel, alter, or set asida any provisions of the technica! cades, nor shall issuance of a permit prevent the Building O�cial trorr►thereafter °equiring a carrection of errors in plans, canstrucfiion or violations of any cades, Every permit issued shall become invalid unless the �ork authorized by such permit is commenced within six months of permit issuance, or if wark authorized by the �ermit is suspended ar abandaned for a periad of six{6} months aft�r the#ime th�e work is commenced An extsnsion may be requested, in writing, from the Building Clfficial for a period not ta exceed ninety (90) days and will demonstrate justifiabie cause far the extension. If wark ceases for ninety{90l cc�nser,ai#i�,te�a}r�, fhp�;�h ;s cc;;�;d°red aba�;�o�ed. V�/AI�fVING TO OWNER. YOUR FAILUF2E TO RECQRD A NOTI�E �F COi1�f1�ENGEfifiEiVT IU{AY ftE5UL1" IN YOUR PAYtNG T�NiCE FOR IIUIPROVEMENT� Tt�YOUR PROPERTY. 1�'Y��.1 INTEtdD T4 O�TAIN Pii�lAIVClt�G, COIVSULT � q 1�1,��I �TTfLR7AYC C'r C �—.nR't.A��".�c.or�..ii..��,� .o�., �^+c— 9T (?lA�'P I.El��Ft �. �. ��f 3�. ',��?�. .�,'r�,...��.:�o�v.,� s v��."s=��,'�"3L� vr �•i,�i4�iiviciv��'itii�YV o. �LORfE}A JUFiA'f{F.S 't 17A3} OWNER OR AGENT ��,�%" CONTRACTOR �l/� ��C� �1 Subsaibed and s �n to( ffirmed) .efore me this Subscribed and sworn to(or affirmed)before me this � - ) bv�� X�titi�__�.�� Q (�I� by flw,�'(1,�[7 t"�� — �42. Wh is/ re p nally known r has/have produced W is/ e pe� na now ��r has/have produced as ideniification. as identificafion. Notary Public I Notary Public Commissio»No � r°�fLdm�l� �ommission tvo. OIIV18 A.�OYBtt publlc,St�� q016 ; Notary Public,3tate of Fforida Name of Nofary#yped,printed ar� ' n piE�a��,129 Name of Notary typ�d,printed a . . . } �m.No, Com.No. EE828129 v , � ' IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII i � 2015126745 r NOTIC�+ OF COMMENCEMENT ' Rcpt:1703885 Ree: 10.00 M��y !� � DS: 0.00 IT; 0.00 � 08/07/2015 T. S. , Dpty Cle�k Permit Na � . Tax Folio No 04-26-21-0000-00100-0020 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 7l3 13 of the Florida Statutes,the following information is provided in thisNOTLCE OF COMMENCEMEIYT M 1,Description of property(legnl descr[ption)COMSECORSEC/N89D53'3"W146.26FT/N2D15'29"E221.26FTFORP08/N57D �,L� �� 35'39"W381.60FT/N46DG08.56"W 35927FT/N87D5'3"W237.01FT/NO'; �'f�2b'�-1• �`�' Address: 36841�CLU13HOUSCDRfVE,�7EPHYRFf[LLS,FI.33542�0601 PRU�p S 0'NEIL,Ph D PASCO CLERK e� CoMPTROLLER � ' 08/�R7B 01g 1:42am 1 33�'T5 2.General description of improvements:ROOFING 9�'37 PG 3 Owner Information ' a Name and address: S 8 R DEVELOPMENT LLC,P.O 'BOX 626,ZEPHYRHILLS,FL 33539-0626 Q z U � W ) � � W u.. --� U)i�ame and address of fee simpie title holder(if other than owi er): N/A U � �O �—� � r c)Interest in property: OWNER � z U cn � O � � � �� _ ¢ `� � a Contractor Information ' � a)Name and address: MILBAR ROOFING INC. 1591 l U.S HWY 301 DADE C[TY FL 33523 � � =z w � b)Tele phoneNo.: 352/5G7-6047 Fax No.(Opt.) y � � � U O S.Surety Information , � = O O � � a)Name and address: � F � w p b)Amount of Bond: � � Q O � p c)Telephone No.: _Fax No.(Opt.) = v v w I � ~ ~ � J 6.Lender 0 } U 00 � a)Name and address: � �. � � � � z O _i • Phone No. o � � �- = Q Z� � 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be s�� >- � � � a)Name and address: ; � � z w � , b)Telephone No.: Fax�No.(Opt.) � Q � 8.1n addition to himself,owner designates the following person to receive a copy of tlae Lienor's Notice as provide d in�et�o� � � } 713.13(I)(b),Florida Statuces. • i � � � O � n. �] a)Name and address: b).Telephone No.: Fax No.(Opt.) 9 Expiration date of Notice of Commencement(tlie expiration date is one year from che date of recording unless a different date is specified): i � $� WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWI�IER AFTER THE EXPIRATION OF THE NOTIC o� • -o * PART I SECTION 71 � �� COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, , f � FLORIDA STATUTES,AND CAN RESULT M YOUR PAYING TWICE FOR 1MPROVEMENTS TO YOUR PRO A'�� a�1 p NOTICE OF COMMENCEMENT MUST BE RECORDED AND POiSTED ON THE JOB SITE BEFORE THE F[R `��'� � � � ° � INSPECTION. IF YOU (NTEND TO OBTA(N FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY B � 'a;�� , �• � �=�'ky``�' a�� , COMMENCING WORK OR ItECORDING YOURNOTICE OF COMMENCEMENT. ��. � ��ry : .'�, STATE OF FLO�A � / � j l COU�Tti'OF I'�$C-��' LO. �l '�� • l� Signatu/f OK'�or Owner's Authonzed OfiicerlD�rectodPartncdManagcr � � ��u►�.�I�, G, 5wt��I�., � � n e.,-� � Print Namc and Titl ° hr� / The fore oing instrument was acknUwledged before me this d� I day of U�G �20 � � ��i��i��i��,,,;,,,:,,i,�i,i�ii�i��iiiitiiiiiii��L `�� as 'i 71�y��Ef��YPe of authority,e.g fficer _e = ��P`"�e�?., PAICHELLE EMERSON t (name of party on behalf of whom inst n as x cu '�� = ry public•State of Flotida _ ` na y own OR Produced Identification_Notary Signature _ _' ;:My Camm.Explres Auq 7,2015_ � _ :^,. g: entification Produced Name(print) _ ., of F� Commission�t EE 84958 _ — �a��,,.,•. ---AND--- SIIIIIIIItIIIIIIIIIIUUUUIUIlullllullllllltltltlt111111tIIlII11IIIII111t1tIIIIIIIIIIH i Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,[declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief.I,�� Signature�Natural Person igning(in line# 10.)Above FORAISINOC.rvsd2007 � �